NPIMap

Organization Active NPI

Eternal Hope and Life, LLC

  • Community/Behavioral Health Agency
  • Union City, GA
National Provider Identifier
1629384060
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ETERNAL HOPE AND LIFE, LLC
Practice address
7349 Poppy Way
Union City, GA 30291-3411
Phone
(404) 591-5131
Fax
(404) 420-2483
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ryan Preston Dennard
Title
Co-Ceo
Phone
(404) 591-5131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7349 Poppy Way
Union City, GA 30291-3411

Mailing address

2045 Mt. Zion Rd
#337
Morrow, GA 30260
Phone (404) 591-5131

National Provider Directory

National Provider Directory
Tax ID family
Eternal Hope and Life LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1629384060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 MT. ZION RD",
            "address_2": "#337",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "30260",
            "telephone_number": "404-591-5131",
            "fax_number": "404-420-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7349 POPPY WAY",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302913411",
            "telephone_number": "404-591-5131",
            "fax_number": "404-420-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL HOPE AND LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "DENNARD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "PRESTON",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "404-591-5131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.